Initial Comments:
Based on the findings of an onsite unannounced home care agency state re-licensure survey conducted on May 25, 2022, United Home Care Servcies was found not to be in compliance with the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 51, Subpart A.
Plan of Correction:
51.4 (b) LICENSURE
CHANGE IN OWNERSHIP & MANAGEMENT
Name - Component - 00
51.4. Change in ownership; change in
management.
(b) A health care facility shall
notify the Department in writing at
least 30 days prior to a change in
ownership or a change in the form of
ownership or name of the facility. A
change in ownership shall mean any
transfer of the controlling interest
in a health care facility.
Observations:
Based on review of the agency's home care agency renewal application and Department of Health (DOH) files, it was determined that the agency failed to notify the DOH in writing at least 30 days prior to a change in ownership.
Findings include:
Review of the home care agency's renewal application on May 25, 2022, revealed that the application submitted on April 20, 2022, inlcuded that a change of ownership occurred on December 31, 2021.
Review of DOH files on May 25, 2022, revealed that the agency failed to submit the required information 30 days prior to the change of ownership.
Email confirmation from the agency Administrator on May 27, 2022, verified that the information was not provided until May 18, 2022.
Plan of Correction:To ensure this Agency is in future compliance and to correct this error as of June 23, 2022; the Admin will be responsible for notifying the Department of Health of any changes in ownership prior to the renewal date.
To prevent this from reoccurring the Agency shall notify the Department in writing at least 30 days prior to a change in ownership or a change in the form of ownership or name of the facility. This also means any transfer of the controlling interest in United Home Care Services, LLC., in compliance with 28 Pa. Code § 51.4.
Reviewing the agency's ownership will be overseen and conducted by the Admin quarterly and annually. All deficiencies under Citation 0016 have been addressed.
Initial Comments:
Based on the findings of an onsite unannounced home care agency state re-licensure survey conducted on May 25, 2022, United Home Care Services was found to be in compliance with the requirements of 28 Pa. Code, Health Facilities, Part IV, Chapter 611, Subpart H. Home Care Agencies and Home Care Registries.
Plan of Correction:
Initial Comments:
Based on the findings of an unannounced onsite state re-licensure survey completed May 25, 2022, United Home Care Services was found not to be in compliance with the requirements of 35 P.S. 448.809 (b).
Plan of Correction:
35 P. S. § 448.809b LICENSURE
Photo Id Reg
Name - Component - 00
Law amended July 11, 2022 Act 79 2022 HB 2604
(1) The photo identification tag shall include a recent
photograph of the employee, the employee's first name, the
employee's title and the name of [the health care facility or
employment agency.] any of the following:
(i) The health care facility.
(ii) The health system.
(iii) The employment agency.
(iv) The fictitious name of an entity under
subparagraph (i), (ii) or (iii) which is registered with
the Department of State under 54 Pa.C.S. Ch. 3 (relating
to fictitious names) or a successor statute.
(2) The title of the employee shall be as large as possible
in block type and shall occupy a one-half inch tall strip as
close as practicable to the bottom edge of the badge.
(3) Titles shall be as follows:
(i) A Medical Doctor shall have the title "Physician."
(ii) A Doctor of Osteopathy shall have the title
"Physician."
(iii) A Registered Nurse shall have the title
"Registered Nurse."
(iv) A Licensed Practical Nurse shall have the title
"Licensed Practical Nurse."
(v) All other titles shall be determined by the
department. Abbreviated titles may be used when the title
indicates licensure or certification by a Commonwealth
agency.
(4)A notation, marker or indicator included on an identification badge that differentiates employees with the same first name is considered acceptable in lieu of displaying an employee's last name.
Observations:
Based upon observation of Identification badges (ID) and an interview with the agency Office Manager, the agency failed to format/issue ID badges per regulatory requirements for one (1) of one (1) observation (Observation #1).
Findings include:
Observation #1: Observation of employee Identification Badge (ID) on May 25, 2022, at approximately 11:30 a.m. revealed the current ID badge title did not occupy a one-half inch (1/2") tall strip as close as practicable to the bottom edge of the badge. The employee title is approximately 1/4" tall.
An interview with the agency Office Manager at approximately 1:30 p.m. confirmed that all agency badges are in this format.
Plan of Correction:To ensure this Agency is in future compliance and to correct this error as of June 23, 2022; the Admin has contacted all employees' and provided them with a photo identification badge.
To prevent this from reoccurring the Agency created a new Employee Personnel In-Take Policy ("EPIP"). This Policy will ensure all new hiring requirements of 11.51(a), have been met before a new employee can provide service consumers.
EPIP Review will be overseen and conducted by the Admin quarterly and annually. All employee have been provided with the proper photo identification badge as directed by 611.51(a). All deficiencies under Citation 0010 have been addressed.
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